Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Wilfred Joseph Bellefontaine death at Musquodoboit Harbour, Halifax County on August 1, 1971
Male Death Registration: Year: 1971 number: 5145
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005145
1. PLACE OF DEATH County of Halifax If in City or Town Musquodoboit Harbour
If death occured in a hospital or institution Twin Oaks Memorial Hospital
3. PRINT NAME OF DECEASED Bellefontaine, Wilfred Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 21, 1900
10. AGE in Years71 Months3 Days11 | hrs or mins
11. Trade or profession Welder
12. Kind of industry Welding
13. Date last worked 1963 14. Total years 40
15. If married name of spouse
16. NAME of Father William Bellefontaine
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Dorothy Be
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Edith Bellefontaine
address West Chezzetcook, NS
Relationship to deceased Daughter
21. Place of burial West Chezzetcook, NS
Date of burial August 4, 1971
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 1, 1971
CAUSE OF DEATH
(a) Chronic Obstructive Lung Disease
(b) Arteriosclerotic Heart Disease
(c)
other Carcinoma of Pancreas
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